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Pyruvate dehydrogenase phosphatase deficiency
Disease definition
Pyruvate dehydrogenase phosphatase deficiency is a very rare subtype of pyruvate dehydrogenase deficiency (PDHD, see this term) characterized by lactic acidemia in the neonatal period.
ORPHA:79246
Classification level: Subtype of disorderSummary
Epidemiology
Prevalence is unknown but this form of PDHD appears to be very rare, with only three patients reported.
Clinical description
All three patients presented in the newborn period with lactic acidosis and hypotonia. Two siblings from one family have had a prolonged course on a ketogenic diet, surviving into teenage years with exercise intolerance and mild developmental delay. The third patient died at age 6 months.
Etiology
The disorder is caused by mutations in the PDP1 gene (8q22.1) encoding pyruvate dehyrogenase phosphatase isoform 1, an enzyme which regulates the activity of the pyruvate dehydrogenase complex.
Genetic counseling
The pattern of inheritance is autosomal recessive.
Detailed information
Article for general public
Professionals
- Summary information
- Polski (2012, pdf)
Additional information